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Q1. A nurse is reviewing the electronic medical record on clients following the implementation
of a quality improvement plan to reduce health care associated infections on a medical surgical
unit. The nurse should identify that the plan is effective if the incidence of infections has:
Decreased. Rationale: Quality improvement measures success by reduction in adverse events
like infections.
Q2. A nurse manager overhears a staff member discussing a client's diagnosis in the elevator
with another staff member. What is the priority action? Remove the staff member from the
work environment immediately. Rationale: HIPAA violation; immediate removal protects
confidentiality.
Q3. A nurse is making assignments at the beginning of the shift. Which task should be delegated
to the LPN? Routine wound irrigation. Rationale: LPN scope includes stable wound care; RN
assesses unstable.
Q4. A nurse overhears a client talking with an attorney, reporting physical abuse, use of
restraints, and denial of meals. The nurse should: Notify the charge nurse and document the
conversation. Rationale: Mandatory reporting of abuse; chain of command first.
Q5. A nurse leader is working with a team that has experienced a high turnover rate. Which
strategy should the leader implement first? Conduct a staff satisfaction survey. Rationale:
Identify root causes before interventions.